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National Survey of Victim Service Providers Cognitive Testing
Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities
OMB: 1121-0339
IC ID: 227963
OMB.report
DOJ/OJP
OMB 1121-0339
ICR 201512-1121-004
IC 227963
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:
2022-02-23 - Revision of a currently approved collection
2019-02-27 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
National Survey of Victim Service Providers Cognitive Testing
Form and Instruction
NSVSP instrument for VSPs serving victims as their prima
NSVSP Cog testing Draft instrument A.docx
Form and Instruction
NSVSP instrument for VSPs serving victims through dedica
NSVSP Cog testing Draft instrument B.docx
Form and Instruction
NSVSP OMB Memo - Cognitive Testing.docx
NSVSP Cognitive Testing Memo
IC Document
NSVSP OMB attachments_CogTesting.docx
NSVSP Cog Testing Attachments
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Survey of Victim Service Providers Cognitive Testing
Agency IC Tracking Number:
BJS
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
N/A
NSVSP instrument for VSPs serving victims as their primary function
NSVSP Cog testing Draft instrument A.docx
No
Paper Only
Form and Instruction
N/A
NSVSP instrument for VSPs serving victims through dedicated staff or programs (Secondary VSPs)
NSVSP Cog testing Draft instrument B.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30
0
30
0
0
0
Annual IC Time Burden (Hours)
30
0
30
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NSVSP Cognitive Testing Memo
NSVSP OMB Memo - Cognitive Testing.docx
08/18/2017
NSVSP Cog Testing Attachments
NSVSP OMB attachments_CogTesting.docx
08/18/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.